Objectives
I examined the over utilization of the emergency department and the financial, psycho-social, and medical reasons of the high utilization.
Methods
I reviewed 11 articles and literatures relating to high health care expenditures and the utilization of emergency departments among homeless individuals. This review included the characteristics, limitations, trends, strengths, agreements and disagreements of the literature review.
Results
There were different causes of high health care expenditure relating to the use of the emergency department. There was a correlation between housing status and high utilization of the emergency room of all the individuals who participated in the study.
Conclusions
Homeless individuals utilize the …show more content…
An emergency department is equipped to treat life -threatening and broad spectrum of medical conditions. Unfortunately, the broad medical provision of the Emergency Department attracts non-emergent use by homeless and uninsured individuals with physical health, mental health, and substance abuse disorders Lin, Bharel, Zhang, O’Connell and Clark (2015). Lam, Arora, and Menchine (2016) reported homeless individuals and member’s with mental health conditions use the emergency department as their primary medical service and for non-emergency related conditions which result in higher utilization and cost. Pearson. Mackelprang, Qiu and Rivara (2015) reported understanding the indicators for why homeless individual utilize the emergency room for non- emergency condition is the first step of intervention. According to Pearson, Bruggman, and Haukoos (2007), homeless individuals utilize the emergency department for non- urgent conditions four times more than the average individual. Lin et al. (2015) reported one-quarter to one-third of homeless individuals experience higher frequent hospitalizations and emergency department visits which are four times higher than the national average. Ku et al. (2014) Health care expenditure is associated with the inappropriate use of the emergency department four times or more in a year. Karaca, Wong, and Mutter (2013) reported …show more content…
Pearson. Mackelprang, Qiu, and Rivara (2015) stated homeless young people who seek hospital care demonstrate a high rate of ED visits and hospital readmissions, with unique predictors of utilization associated with sex and housing status. Lin et al. (2015) stated homeless individuals with co-occurring mental health and substance use disorder significantly experience comorbidities, frequent emergency department visits, hospitalization, and high health care expenditures. Homeless individuals are twice as likely to be covered by Medicaid insurance than non-homeless individuals (Hwang et al.,2013; Karaca et al., 2013; Lin et al., 2015). Thakarar, Morgan, Gaeta, Hohl, and Drainoni (2015) indicated that the common characteristic of individuals with high utilizations of the emergency department visits are physical and mental health comorbidities, substance use disorders and housing problems. Researchers believe these trend exist because of the data collections and trends review by hospitals, Medicaid agencies, and
I examined the over utilization of the emergency department and the financial, psycho-social, and medical reasons of the high utilization.
Methods
I reviewed 11 articles and literatures relating to high health care expenditures and the utilization of emergency departments among homeless individuals. This review included the characteristics, limitations, trends, strengths, agreements and disagreements of the literature review.
Results
There were different causes of high health care expenditure relating to the use of the emergency department. There was a correlation between housing status and high utilization of the emergency room of all the individuals who participated in the study.
Conclusions
Homeless individuals utilize the …show more content…
An emergency department is equipped to treat life -threatening and broad spectrum of medical conditions. Unfortunately, the broad medical provision of the Emergency Department attracts non-emergent use by homeless and uninsured individuals with physical health, mental health, and substance abuse disorders Lin, Bharel, Zhang, O’Connell and Clark (2015). Lam, Arora, and Menchine (2016) reported homeless individuals and member’s with mental health conditions use the emergency department as their primary medical service and for non-emergency related conditions which result in higher utilization and cost. Pearson. Mackelprang, Qiu and Rivara (2015) reported understanding the indicators for why homeless individual utilize the emergency room for non- emergency condition is the first step of intervention. According to Pearson, Bruggman, and Haukoos (2007), homeless individuals utilize the emergency department for non- urgent conditions four times more than the average individual. Lin et al. (2015) reported one-quarter to one-third of homeless individuals experience higher frequent hospitalizations and emergency department visits which are four times higher than the national average. Ku et al. (2014) Health care expenditure is associated with the inappropriate use of the emergency department four times or more in a year. Karaca, Wong, and Mutter (2013) reported …show more content…
Pearson. Mackelprang, Qiu, and Rivara (2015) stated homeless young people who seek hospital care demonstrate a high rate of ED visits and hospital readmissions, with unique predictors of utilization associated with sex and housing status. Lin et al. (2015) stated homeless individuals with co-occurring mental health and substance use disorder significantly experience comorbidities, frequent emergency department visits, hospitalization, and high health care expenditures. Homeless individuals are twice as likely to be covered by Medicaid insurance than non-homeless individuals (Hwang et al.,2013; Karaca et al., 2013; Lin et al., 2015). Thakarar, Morgan, Gaeta, Hohl, and Drainoni (2015) indicated that the common characteristic of individuals with high utilizations of the emergency department visits are physical and mental health comorbidities, substance use disorders and housing problems. Researchers believe these trend exist because of the data collections and trends review by hospitals, Medicaid agencies, and